Prostate sclerosis
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Description:
The term "prostate sclerosis" was for the first time offered by professor V. S. Karpenko in 1970. This term is meant as sclerous regeneration of tissue of prostate gland, most often chronic inflammatory process in a prostate is the reason of what (that is prostatitis). The prostate sclerosis most often occurs at men aged from 20 up to 50 years.
The sclerosis of a prostate represents a disease with a characteristic morphological picture and staging of pathological process which cornerstone the progressing prostate sclerosis which is characterized by substitution of a ferruterous and muscular component of a prostate cicatricial connecting fabric that leads finally to disturbance of structure of a prostate and dysfunction of a prostate is. Cicatricial and sclerous process can take a neck of a bladder and seed bubbles.
Prostate Sclerosis symptoms:
The sclerosis of a prostate has characteristic clinical manifestations which consist of symptoms of the broken urination, disturbance of bladder emptying, and in late stages – symptoms of a renal failure. Development of an acute ischuria, pelvic pain syndrome is possible.
At such disease as the prostate sclerosis first of all is broken an urination. In the beginning urination time increases, but the bladder is emptied completely. In process of a decompensation of the muscle expelling urine there is a residual urine (the residual urine is amount of urine which remains in a bladder after an urination), in late stages stagnation in upper uric ways develops.
At a sclerosis of a prostate internal generative organs of the man – seed bubbles and testicles suffer. Frequent involvement in pathological process of seed bubbles is caused by cicatricial wrinkling of a prostate and disturbance of passability of semyaizvergayushchy channels. The last pass through thickness of a prostate and serve as ways of evacuation of spermatozoa from testicles and contents of seed bubbles. The infection which led to a prostate sclerosis, causes an inflammation of seed bubbles, deferent ducts and appendages of testicles. Thus, the prostate inflammation only right at the beginning has limited character. In process of progressing of a disease, substitution of a parenchyma of a prostate of connecting fabric, the next bodies (seed bubbles, testicles) are involved in process. The infection can extend both on a deferent duct, and on lymphatic ways.
The sclerosis of a prostate causes disturbance of the act of an urination that is the main symptom. The complicated urination often is followed by gripes, thinning of a stream of urine, a sluggish stream of urine. Patients are forced to make an effort to empty a bladder. In process of progressing of a disease at patients such symptom as existence of a residual urine which can fluctuate in considerable limits is defined (from 100-200 ml to 1000 ml). At a number of patients with a sclerosis of a prostate the acute ischuria develops.
Pain at a sclerosis of a prostate is various on the manifestations and localization. Often pain has persistent character, accompanies the act of an urination. Patients note pain over a bosom, in a crotch, in a rectum, in lumbar area, in a scrotum.
The sclerosis of a prostate leads to disturbance of sexual function. Patients note decrease in sexual desire, deterioration of erections. Some patients note an aggravation of symptoms after sexual intercourse that is shown by emergence of pains in the field of a sacrum, a crotch, over a bosom, strengthenings of gripes at an urination.
In late stages of a disease disturbance of outflow of urine from a bladder leads to disturbance of outflow of urine from kidneys and to development of a renal failure.
Prostate Sclerosis reasons:
The prostate sclerosis at most of patients is preceded by chronic prostatitis. At a number of persons it is not possible to connect this disease with any previous disturbance. However in emergence of a sclerosis of a prostate endocrine disturbances and diseases of connecting fabric play a role. The leading mechanism of a pathogeny of this disease is disturbance of microcirculation of a prostate.
Vopaleniye of a prostate - the main reason for development of its sclerosis
Treatment of the Sclerosis of a prostate:
Reliable conservative methods of treatment of a sclerosis of a prostate do not exist today, medicinal treatment has only auxiliary value.
The main method of treatment of a sclerosis of a prostate is surgical, directed to removal of sick body, recovery of a normal urination and bladder emptying.
Before development of endoscopic surgery to patients with the diagnosis a sclerosis of a prostate open operation – a prostatectomy - full or partial removal of a prostate was carried out. With development of endoscopic surgery preference is given to less aggressive interventions – the TOUR (a transurethral resection) of a prostate (in some cases transurethral incision (section) of a prostate).
